MENDED HEARTS STABLE
NPI 1922283464
Clinic/Center - Adolescent and Children Mental Health in Metamora, IL
About Mended Hearts Stable NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MENDED HEARTS STABLE (NPI 1922283464), doing business as Mended Hearts Stable, Inc, is a healthcare organization registered as an adolescent and children mental health in Metamora, Illinois and active in the NPI registry since January 2008. The organization lists Julie Elise Sellner, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mended Hearts Stable is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Mended Hearts Stable, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mended Hearts Stable's NPI number?
The NPI number for Mended Hearts Stable is 1922283464. It was assigned to this organization in the NPPES registry on January 3, 2008. The provider was formerly known as Mended Hearts Stable, Inc.
Where is Mended Hearts Stable located?
Mended Hearts Stable is located at 1431 Lourdes Rd, Metamora, IL 61548. The listed phone number is (309) 383-4323.
What is Mended Hearts Stable's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.
Is Mended Hearts Stable enrolled in Medicare?
Yes. Mended Hearts Stable is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mended Hearts Stable?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Mended Hearts Stable. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (3), Nurse Practitioner (1) and Occupational Therapist in Private Practice (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Mended Hearts Stable accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Mended Hearts Stable as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mended Hearts Stable was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mended Hearts Stable · NPI 1922283464
Adolescent and Children Mental Health organization in Metamora, Illinois. Organization record, active in the CMS NPPES registry since January 3, 2008.
## Identity
- **NPI:** 1922283464 (Entity type: Organization)
- **Enumerated:** January 3, 2008
- **Primary specialty:** Clinic/Center - Adolescent and Children Mental Health · taxonomy 261QM0855X
- **Organization subpart:** No
- **Authorized official:** Julie Sellner, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 1431 LOURDES RD, Metamora, IL 61548-7609
- **Phone:** (309) 383-4323 · **Fax:** (309) 383-3399
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (3), Nurse Practitioner (1), Occupational Therapist in Private Practice (1); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1922283464) · Data from the CMS NPPES public registry.